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Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens
PURPOSE: We report a case of chronic post-operative endophthalmitis secondary to Cutibacterium acnes (C. acnes) in a patient with an implantable collamer lens (ICL). OBSERVATIONS: A 45-year-old male presented three months after ICL implantation of the right eye with blurry vision, redness, and ocula...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965848/ https://www.ncbi.nlm.nih.gov/pubmed/35372713 http://dx.doi.org/10.1016/j.ajoc.2022.101500 |
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author | Wilkinson, Samuel Etheridge, Tyler Monson, Bryan K. Larochelle, Marissa B. |
author_facet | Wilkinson, Samuel Etheridge, Tyler Monson, Bryan K. Larochelle, Marissa B. |
author_sort | Wilkinson, Samuel |
collection | PubMed |
description | PURPOSE: We report a case of chronic post-operative endophthalmitis secondary to Cutibacterium acnes (C. acnes) in a patient with an implantable collamer lens (ICL). OBSERVATIONS: A 45-year-old male presented three months after ICL implantation of the right eye with blurry vision, redness, and ocular pain in the setting of prolonged post-operative anterior chamber (AC) cell. Reduced visual acuity (VA) at 20/30-1, keratic precipitates, 1+ AC cell, and white ICL precipitates were concerning for chronic post-operative endophthalmitis. Anaerobic cultures from a vitreous tap grew C. acnes. Multiple intravitreal and intracameral injections with topical steroids were required to maintain a stable VA at 20/30; however, inflammation persisted and removal of the ICL and his native lens was ultimately required. CONCLUSIONS AND IMPORTANCE: Chronic post-operative inflammation and white plaque after ICL implantation should raise high suspicion for endophthalmitis secondary to C. acnes. Anaerobic vitreous cultures can confirm the diagnosis. Removal of the ICL implant is often necessary for treatment. More research is needed to best manage this vision threatening condition. |
format | Online Article Text |
id | pubmed-8965848 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-89658482022-03-31 Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens Wilkinson, Samuel Etheridge, Tyler Monson, Bryan K. Larochelle, Marissa B. Am J Ophthalmol Case Rep Case Report PURPOSE: We report a case of chronic post-operative endophthalmitis secondary to Cutibacterium acnes (C. acnes) in a patient with an implantable collamer lens (ICL). OBSERVATIONS: A 45-year-old male presented three months after ICL implantation of the right eye with blurry vision, redness, and ocular pain in the setting of prolonged post-operative anterior chamber (AC) cell. Reduced visual acuity (VA) at 20/30-1, keratic precipitates, 1+ AC cell, and white ICL precipitates were concerning for chronic post-operative endophthalmitis. Anaerobic cultures from a vitreous tap grew C. acnes. Multiple intravitreal and intracameral injections with topical steroids were required to maintain a stable VA at 20/30; however, inflammation persisted and removal of the ICL and his native lens was ultimately required. CONCLUSIONS AND IMPORTANCE: Chronic post-operative inflammation and white plaque after ICL implantation should raise high suspicion for endophthalmitis secondary to C. acnes. Anaerobic vitreous cultures can confirm the diagnosis. Removal of the ICL implant is often necessary for treatment. More research is needed to best manage this vision threatening condition. Elsevier 2022-03-25 /pmc/articles/PMC8965848/ /pubmed/35372713 http://dx.doi.org/10.1016/j.ajoc.2022.101500 Text en © 2022 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Wilkinson, Samuel Etheridge, Tyler Monson, Bryan K. Larochelle, Marissa B. Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title | Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title_full | Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title_fullStr | Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title_full_unstemmed | Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title_short | Chronic postoperative Cutibacterium acnes endophthalmitis with implantable collamer lens |
title_sort | chronic postoperative cutibacterium acnes endophthalmitis with implantable collamer lens |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965848/ https://www.ncbi.nlm.nih.gov/pubmed/35372713 http://dx.doi.org/10.1016/j.ajoc.2022.101500 |
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